Active NPIIndividual providerSole proprietor

Philip Formica, MD

Internal Medicine, Advanced Heart Failure and Transplant Cardiology in Burlington, Massachusetts

NPI Number1184883209
Practice location
41 Mall Road, Lahey Hospital And Medical Center, Burlington, MA 01805-0001
Fax
781-744-5261
Last updated
April 25, 2019

Philip Formica is an Internal Medicine, Advanced Heart Failure and Transplant Cardiology based in Burlington, MA. Philip Formica practices in Burlington, MA and has the professional credentials of MD. The NPI Number for Philip Formica is 1184883209 and holds a License No. 256905 (MA). The current practice location address for Philip Formica is 41 Mall Road, Lahey Hospital And Medical Center, Burlington, MA 01805-0001 and can be reached out via phone at 781-744-8460 and via fax at 781-744-5261.

Provider Profile Details

NPI Number
1184883209
Provider Name
Philip Formica
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
41 Mall Road, Lahey Hospital And Medical Center, Burlington, MA 01805-0001
Phone Number
781-744-8460
Fax Number
781-744-5261
Sole Proprietor
Yes
Provider Enumeration Date
June 4, 2008
Last Update Date
April 25, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Mall Road
Lahey Hospital And Medical Center
Burlington, MA 01805-0001
Zip
01805-0001
Phone Number
781-744-8460
Fax Number
781-744-5261
Burlington, MA 01805Get directions →

Provider Business Mailing Address Details

Address
41 Mall Road
Lahey Hospital And Medical Center
Burlington, MA 01805-0001
City
Burlington
State
MA
Zip
01805-0001
Phone Number
781-744-8460
Fax Number
781-744-5261

License Information

License Number (1)
256905
License State (1)
MA
License Number (2)
256905
License State (2)
MA
Taxonomy (2)
Nuclear Medicine, Nuclear Cardiology · 207UN0901X
License Number (3)
256905
License State (3)
MA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Philip Formica, MD?

The NPI number of Philip Formica, MD is 1184883209. It was assigned on June 4, 2008 and is currently active in the NPPES registry.

What is the specialty of Philip Formica, MD?

Philip Formica, MD is registered under the primary taxonomy Internal Medicine, Advanced Heart Failure and Transplant Cardiology (code 207RA0001X), licensed in MA under license number 256905.

Where does Philip Formica, MD practice?

The practice location is 41 Mall Road, Lahey Hospital And Medical Center, Burlington, MA 01805-0001. The office can be reached at 781-744-8460 (phone) or 781-744-5261 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184883209 directly on the NPPES registry website.

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